Measurement of circulating CD21-CD27- B lymphocytes in SLE patients is associated with disease activity independently of conventional serological biomarkers.

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License: CC BY 4.0
Serval ID
serval:BIB_79225BAA39D6
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Measurement of circulating CD21-CD27- B lymphocytes in SLE patients is associated with disease activity independently of conventional serological biomarkers.
Journal
Scientific reports
Author(s)
Horisberger A., Humbel M., Fluder N., Bellanger F., Fenwick C., Ribi C., Comte D.
ISSN
2045-2322 (Electronic)
ISSN-L
2045-2322
Publication state
Published
Issued date
02/06/2022
Peer-reviewed
Oui
Volume
12
Number
1
Pages
9189
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Determining disease activity in systemic lupus erythematosus (SLE) patients is challenging and limited by the lack of reliable biomarkers. Abnormally activated B cells play a key role in the pathogenesis of SLE, but their measure in clinical practice is currently not recommended. Here, we studied peripheral B cells to identify a valid biomarker. We analyzed peripheral B cells in a discovery cohort of 30 SLE patients compared to 30 healthy controls (HC) using mass cytometry and unsupervised clustering analysis. The relevant B cell populations were subsequently studied by flow cytometry in a validation cohort of 63 SLE patients, 28 autoimmune diseases controls and 39 HC. Our data show an increased frequency of B cell populations with activated phenotype in SLE compared to healthy and autoimmune diseases controls. These cells uniformly lacked the expression of CD21 and CD27. Measurement of CD21 <sup>-</sup> CD27 <sup>-</sup> B cells in the blood identified patients with active disease and their frequency correlated with disease severity. Interestingly, we did not observe an increase in the frequency of CD21 <sup>-</sup> CD27 <sup>-</sup> B cells in patients with clinically inactive disease but with elevated conventional biomarkers (anti-dsDNA and complement levels). Accordingly, measurement of CD21 <sup>-</sup> CD27 <sup>-</sup> B cells represents a robust and easily accessible biomarker to assess the activity of the disease in SLE patients.
Keywords
Autoimmune Diseases, B-Lymphocytes, Biomarkers, Complement System Proteins, Humans, Lupus Erythematosus, Systemic, Lymphocyte Count
Pubmed
Web of science
Open Access
Yes
Funding(s)
Swiss National Science Foundation / Careers / PZ00P3_173950
Create date
17/06/2022 17:53
Last modification date
12/07/2022 7:10
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